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10.1038/s41598-017-07797-2

http://scihub22266oqcxt.onion/10.1038/s41598-017-07797-2
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suck abstract from ncbi


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pmid28883401
      Sci+Rep 2017 ; 7 (1 ): 10884
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  • Comparison of APACHE IV with APACHE II, SAPS 3, MELD, MELD-Na, and CTP scores in predicting mortality after liver transplantation #MMPMID28883401
  • Lee H ; Yoon S ; Oh SY ; Shin J ; Kim J ; Jung CW ; Ryu HG
  • Sci Rep 2017[Sep]; 7 (1 ): 10884 PMID28883401 show ga
  • The Acute Physiology and Chronic Health Evaluation (APACHE) IV score and Simplified Acute Physiology Score (SAPS) 3 include liver transplantation as a diagnostic category. The performance of APACHE IV-liver transplantation (LT) specific predicted mortality, SAPS 3, APACHE II, Model for End-stage Liver Disease (MELD)-Na, MELD, and CTP scores in predicting in-hospital and 1 year mortality in liver transplant patients was compared using 590 liver transplantations in a single university hospital. In-hospital mortality and 1 year mortality were 2.9% and 4.2%, respectively. The APACHE IV-LT specific predicted mortality showed better performance in predicting in-hospital mortality (AUC 0.91, 95% CI [0.86-0.96]) compared to SAPS 3 (AUC 0.78, 95% CI [0.66-0.90], p?=?0.01), MELD-Na (AUC 0.74, 95% CI [0.57-0.86], p?=?0.01), and CTP (AUC 0.68, 95% CI [0.54-0.81], p?=?0.01). The APACHE IV-LT specific predicted mortality showed better performance in predicting 1 year mortality (AUC 0.83, 95% CI [0.76-0.9]) compared to MELD-Na (AUC 0.67, 95% CI [0.55-0.79], p?=?0.04) and CTP (AUC 0.64, 95% CI [0.53-0.75], p?=?0.03), and also in all MELD groups and in both living and deceased donor transplantation. The APACHE IV-LT specific predicted mortality showed better performance in predicting in-hospital and 1 year mortality after liver transplantation.
  • |*Decision Support Techniques [MESH]
  • |*Liver Transplantation [MESH]
  • |Hospitals, University [MESH]
  • |Humans [MESH]
  • |Liver Diseases/*pathology/*surgery [MESH]
  • |Prognosis [MESH]
  • |Republic of Korea [MESH]
  • |Survival Analysis [MESH]


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